Organization
GOOD SAMARITAN OUTREACH SERVICES
Active
Organization
GOOD SAMARITAN OUTREACH SERVICES
Active
Other names
Children's Therapy Unit
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J LEWIS (VICE PRESIDENT)
(253) 697-8500
Entity
Organization
Contact information
Practice address
402 15TH AVE SE, PUYALLUP, WA 98372-3709
(253) 697-5200
(253) 697-8598
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8548
(253) 697-8598
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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